目的了解医院合同制护士的工作满意度及压力源,为规范合同制护士管理、稳定合同制护士队伍、提高护理质量提供科学依据。方法采用问卷调查法,调查温州市某两所三级乙等医院204名合同制护士的一般情况、工作满意度、工作压力源的现状及其相关因素。结果合同制护士工作满意度平均得分为（2.74±0.15）分,总体满意度较低,满意度最低的项目是福利待遇和专业发展机会;工作压力源平均得分为（2.27±0.58）分,合同制护士的护理专业和工作方面的问题、对患者护理方面的问题以及工作量与时间分配的问题为压力的主要来源。结论提高福利待遇、创造职业发展机会,减轻工作压力是减少离职、稳定和发展合同制护士队伍的有效途径。

目的观察早期康复训练联合电刺激对改善脑卒中患者步行能力的效果。方法对30例脑卒中患者实施电刺激及早期康复训练,在治疗前及治疗2月后采用Berg平衡量表和改良Bathel指数进行评定。结果治疗2月后Berg平衡量表和改良Bathel指数评分较治疗前有较大改善。结论早期康复训练联合电刺激能改善脑卒中患者的步行能力。

目的观察冷刺激联合干扰电治疗脑卒中后吞咽困难的效果。方法将62例脑卒中后吞咽困难患者按入院顺序分为观察组32例和对照组30例。两组患者均给予冷刺激治疗,观察组再加干扰电治疗。观察两组患者吞咽困难的恢复状况。结果吞咽困难治愈率观察组68.8%、对照组26.7%,x2=10.98,P<0.01。结论冷刺激联合干扰电治疗能提高脑卒中后吞咽困难的治疗效果。

Objective To explore the effect of early pelvis control training on the balance function in patients with hemiplegia. Methods 60 early stroke patients were divided into the treatment group and the control group. The patients in the treatment group accepted the early pelvis control training based on the normal early rehabilitation which was given to the control. They were evaluated with Berg Balance Scale and the Modified Bathel Index before and 2 months after treatment. Results The scores of Berg Balance Scale and the Modified Bathel Index of the treatment group improved more than that of the control group (P0.05). Conclusion The early pelvis control training can improve the balance dysfunction after hemiplegia effectively.

Objective To explore the effect of early pelvis control training on the balance function in patients with hemiplegia. Methods 60 early stroke patients were divided into the treatment group and the control group. The patients in the treatment group accepted the early pelvis control training based on the normal early rehabilitation which was given to the control. They were evaluated with Berg Balance Scale and the Modified Bathel Index before and 2 months after treatment. Results The scores of Berg Balance Scale and the Modified Bathel Index of the treatment group improved more than that of the control group (P<0.05). Conclusion The early pelvis control training can improve the balance dysfunction after hemiplegia effectively.

2000年6月-2002年12月本院康复科收治老年脑卒中后遗症患者380例,男244例,女130例;平均年龄78岁,其中>70岁140例;病程3个月;均伴有偏瘫.护理方法:①入院后进行ADL和行动能力评定,站立平衡达3级,而步态不稳的患者专人陪护,并给扶拐器扶助步行;卧床时给予护栏保护,上下床时协助,病区配备辅助步行器械及助力自行车,供下肢肌力>4级患者使用或训练,并定期检查器械质量.②根据患者体质、ADL评定、偏瘫等级等制定具体的康复计划,并按计划给予一对一手法、运动及作业治疗等[1],运动量以患者轻微出汗和呼吸增快,运动后次日晨起感觉舒适、无疲劳现象并能继续进行锻炼为宜[2],运动前后严密观察患者血压变化.③管床护士每日3次到患者床前询问需要,与之交谈,并帮助解决实际问题;做好病区环境布置,定时开窗通风,更换床单;陪伴患者参加工娱活动,定时播放轻音乐.责任护士随时下病房对患者及家属进行疾病相关知识宣教,如高血压病的预防;偏瘫肢体良肢位摆放的意义及方法,正确站立、平衡及ADL训练的技巧,日常饮食控制等;并鼓励患者家属探视.